DR. PRADEEP K JACOB (MD) – Diagnostic Radiology Physician, NPI 1306849765
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
1,081 DIAGNOSTIC RADIOLOGY in TN
Provider Addresses for DR. PRADEEP K JACOB (MD)
1403 LISMORE LN
KNOXVILLE, TN 379228573
Phone: (865) 690-9350
Type: Mailing
210 25TH AVE N STE 1204
NASHVILLE, TN 372031620
Phone: (615) 312-0600
Fax: (615) 320-3259
Type: Mailing
Erlanger Health System, 975, East 3rd Street, Chattanooga, Hamilton County, Tennessee, 37403, United States
CHATTANOOGA, TN 374032103
Phone: (423) 778-9296
Fax: (423) 778-3210
Type: Location
17800 Kedzie Ave
Hazel Crest, IL 604292029
Phone: (708) 799-8000
Type: Location
4440 W 95th St
Oak Lawn, IL 604532600
Phone: (708) 684-8000
Type: Location
975 E 3rd St
Chattanooga, TN 374032103
Phone: (423) 778-9296
Fax: (423) 778-3210
Type: Location
4100 Healthway Dr
Aurora, IL 605044163
Phone: (708) 684-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080505000275 | I | Diagnostic Radiology | TN | TBD |
| I20200526000490 | I | Diagnostic Radiology | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,115 | 1,050 | $0 |
| 70450 | Ct scan head or brain without contrast | 1,007 | 946 | $0 |
| 72125 | Ct scan of upper spine without contrast | 267 | 265 | $0 |
| 71046 | X-ray of chest, 2 views | 202 | 197 | $0 |
| 70498 | Ct scan of blood vessels of neck with contrast | 180 | 179 | $0 |
Insurance plans in this area (ZIP 37922)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology, Internal Medicine | KY | |
| Diagnostic Radiology | TN | |
| - | TN | |
| Diagnostic Radiology | TN |
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